NPIMap

Organization Active NPI

California Cardiovascular Consultant Medical Associates

  • Clinic/Center
  • Fremont, CA
National Provider Identifier
1053435248
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A96837 Issued in CA
Legal business name
CALIFORNIA CARDIOVASCULAR CONSULTANT MEDICAL ASSOCIATES
Practice address
1900 Mowry Ave Ste 309
Fremont, CA 94538-1722
Phone
(510) 796-0222
Fax
(510) 796-7760
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gerald Hla Myint, M.D.
Title
Physician
Phone
(510) 796-0222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X A96837 CA Primary

Addresses

Primary practice location

1900 Mowry Ave Ste 309
Fremont, CA 94538-1722

Mailing address

4262 Central Ave Apt 408
Fremont, CA 94536-4985
Phone (510) 229-7824

National Provider Directory

National Provider Directory
Tax ID family
California Cardiovascular Consultants3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053435248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4262 CENTRAL AVE APT 408",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364985",
            "telephone_number": "510-229-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MOWRY AVE STE 309",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381722",
            "telephone_number": "510-796-0222",
            "fax_number": "510-796-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA CARDIOVASCULAR CONSULTANT MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MYINT",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "HLA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "510-796-0222",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A96837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.